Table of Content

20 March 2020, Volume 17 Issue 3 Previous Issue    Next Issue

Special Planing-Virtual Simulation

Select

Design and application of a virtual simulation experiment teaching project in Labor and Delivery Nursing JIANG Xiao-ying, HU Rong-fang, YAN Yi-lu, WANG Xiao-yan 2020, 17 (3):  197-201.  doi: 10.3761/j.issn.1672-9234.2020.03.001 Abstract ( 836 )   HTML ( 0 )   PDF (1055KB) ( 22 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the design and application of a virtual simulation experiment teaching project in Labor and Delivery Nursing. Methods Based on the teaching contents and 3D virtual reality technology,a virtual simulation training system for childbirth care was developed with 3 sessions（care and management of the first,second and third stages of labor）. The virtual simulation training system was applied in Obstetrics and Midwifery Nursing among 121 undergraduate nursing students. Results The average length of online study was 1.39 hours. Students showed high acceptanceof the project with 94.24% in favor or being neutral of the virtual simulation system and 88.84% in favor or being neutral of the teaching model. Conclusion The project provides a reference for the development of virtual simulation experiment teaching in nursing education in the future.

Select

The development and effects of virtual reality training project for care of patients with pressure injury ZHANG Mei-fen, WANG Ruo-jing, BU Xiu-qing, LIN Xiao-ling, LIANG Qun-ying, LI Gui-feng, WANG Yun, WAN Li-hong 2020, 17 (3):  202-206.  doi: 10.3761/j.issn.1672-9234.2020.03.002 Abstract ( 687 )   HTML ( 0 )   PDF (1000KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop the virtual reality training project for care of patients with pressure injury and to explore its application effects. Methods Based on the advantages of internet and virtual reality technology,the virtual reality training project for care of pressure injury was constructed,which included three modules：theory learning,skill training and comprehensive application. The project was applied in Fundamentals of Nursing for 58 undergraduates of 2018 in our university. The self-designed questionnaire was used to examine the students’ evaluation of the project. Data obtained from the platform were analyzed to know the project usage and students’ examination performance. Results 94.8% of the students showed great interests in the virtual reality learning and all of them considered that this project was very helpful. 96.6% of the students were willing to go to the website to re-learn the relevant knowledge. Data analysis showed that the correct rate of students’ answers was rising with 68.2% at first,92.6% at the second time and 100% at the third time. So far,learners from 19 provinces,cities and autonomous regions have visited our website and studied the project with up to 6 410 times. Conclusion Virtual reality training project is conductive to stimulate students’ self-learning interest and improve the learning effects. It can help students to master the relevant knowledge and skills of care of the pressure injury. This project provides an effective training platform for sharing of high quality teaching resources.

Select

Learning experiences of participating the virtual simulation experiment teaching project in undergraduate nursing students LI Jing, WANG Ke-fang, JIA Yu, GAO Jie 2020, 17 (3):  207-210.  doi: 10.3761/j.issn.1672-9234.2020.03.003 Abstract ( 525 )   HTML ( 0 )   PDF (762KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the experiences and effects of participating the virtual simulation experiment teaching project in undergraduate nursing students. Methods A semi-structured interview were conducted with 9 undergraduate nursing students who participated in the virtual simulation experiment teaching project. Thematic analysis was used to analyze the data. Results Four themes emerged from the data including“expanded clinical thinking”,“development of systematic thinking”,“thinking from the standpoints of nurses”,and “real-situation supplement to clinical thinking”. Conclusion The virtual simulation experiment teaching project can promote the development of clinical thinking among undergraduate nursing students.

Select

Design and application of a virtual reality simulation project for Emergency and Critical Care Nursing YANG Yang, ZHU Shu-qin, DONG Ling, YUAN Yi-biao, XU Qin, CHEN Ming-xia 2020, 17 (3):  211-215.  doi: 10.3761/j.issn.1672-9234.2020.03.004 Abstract ( 947 )   HTML ( 3 )   PDF (2337KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics The comprehensive virtual reality simulation project entitled “prehospital emergency care and in-hospital intensive care of a patient with multiple injuries caused by a car accident” was designed. The project aimed to strengthen the clinical thinking ability of students and students are required to assess,analyze,and intervene based on the simulation scenario. The project included three modules of learning guidance,virtual training,and evaluation. There were five tasks including “pre-hospital first aid”,“aspiration rescue”,“post-operation pain assessment”,“analgesic monitoring”,and “central venous pressure monitoring”. The project was applied among 291 undergraduates who were going to start their clinical practice. The students logged in the platform to learn the related knowledge autonomously before class. They also practiced repeatedly after class and did the examination by themselves. Finally the training results were analyzed.

Select

Development and application of a virtual simulation experiment teaching project for caring of patients with upper gastrointestinal hemorrhage LI Rui-ling, TAO Zhi-min, JIN Yan, YANG Chang-yong, LI Bo 2020, 17 (3):  216-218.  doi: 10.3761/j.issn.1672-9234.2020.03.005 Abstract ( 707 )   HTML ( 0 )   PDF (961KB) ( 7 )   Save Figures and Tables | References | Related Articles | Metrics The virtual simulation technology is the main method applied in the practical teaching and becoming the direction of technology teaching reform. To solve the current problems existing in the practical teaching in nursing undergraduate education,we agreed that the virtual simulation experiment teaching project should be further strengthened. This paper shared the experience of developing a virtual simulation experiment teaching project for caring of patients with upper gastrointestinal hemorrhage including contents,development,and application of the project. It can provide reference for promoting construction of the virtual simulation experiment programmes and resources.

Select

Development and application of a virtual simulation teaching platform for the snake bite rescue LIAO Li, DENG Qi-dan, CHEN Li, HU Li, HE Ping-ping, JIANG Sui-bin 2020, 17 (3):  219-222.  doi: 10.3761/j.issn.1672-9234.2020.03.006 Abstract ( 599 )   HTML ( 0 )   PDF (884KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Snake bite envenomation is a common acute critical illness. We developed a virtual reality simulation experiment teaching platform called“clinical thinking of snake bite rescue—taking silver ring snake as an example”. We used the virtual reality technology and software to create a virtual 3D scene of venomous snake bite settings including the patient,his conditions,and rescuing circumstance. The platform integrated the senses of vision,hearing and touch in practical teaching. The “teaching”,“learning” and “doing” were well integrated and achieved by connecting the fundamentals of nursing and emergency care techniques with the clinical thinking in the virtual environment.

Select

Design and development of a virtual simulation experiment in nursing——taking natural delivery as an example LI Wen-tao, AN Li-bin, YANG Lian-wei, YUE Tong, ZHOU Xiao-hua 2020, 17 (3):  223-225.  doi: 10.3761/j.issn.1672-9234.2020.03.007 Abstract ( 516 )   HTML ( 2 )   PDF (542KB) ( 12 )   Save References | Related Articles | Metrics The virtual simulation experiment project combines the information technology with the experiment teaching project,expands the experiment teaching contents and increases teaching time. It can achieve the resource sharing which has a certain value in the modern nursing experiment teaching. The paper took the natural delivery as an example to introduce background of the project selection and the design of the project. The project completely showed the natural childbirth delivery process by using a case. The key steps during the delivery process were integrated in the project and multiple technologies were also used. Students were encouraged to practice the project repeatedly. Thus,students’ comprehensive abilities were improved from various ways. Limitations and prospects are proposed as the reference for other similar virtual simulation experiment teaching projects of nursing in China.

Research Paper

Select

Evidence based clinical practice of medical device related pressure injury prevention CHEN Jin, WANG Qin, ZHANG Lan, WEI Li 2020, 17 (3):  226-231.  doi: 10.3761/j.issn.1672-9234.2020.03.008 Abstract ( 707 )   HTML ( 0 )   PDF (956KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To collect and summarize the evidence based clinical practice of medical device related pressure injury prevention. Methods We searched related studies regarding the prevention of medical device related pressure injury in main databases from inception to October 2019. Two investigators evaluated the quality of the included literatures by using the literature evaluation criteria and evidence classification system of the Joanna Briggs Institute and extracted evidences from documents that met the inclusion criteria. Results A total of 8 articles were included with 6 guidelines,1 expert consensus,and 1 systematic review. The best evidence included skin assessment,skin cleaning,placement and movement of medical devices,rational use of dressings,and education and training. Conclusion This study summarizes the evidence based clinical practice for preventing medical device related pressure injury by searching databases at home and abroad. It is suggested that evidence users should select best evidence with consideration of hospital characteristics,clinical settings,promoting and hindering factors by medical staffs and the willingness of patients. The study can provide more evidence for clinical practice so as to improve the quality of nursing.

Nursing Education

Select

The construction of the training program of master of nursing specialist in ICU YUAN Mei-ling, GAO Yu-fang, SHANG Dan-dan, CHEN Xin, WANG Wen-yuan 2020, 17 (3):  232-236.  doi: 10.3761/j.issn.1672-9234.2020.03.009 Abstract ( 613 )   HTML ( 0 )   PDF (739KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective Based on the training of new nurses,the training program of nursing master degree in ICU is constructed,which lays the foundation for the combination of training of nursing master degree and training of new nurses. Methods The first draft of training program for nursing master degree in ICU was drawn up by literature analysis,and 25 experts were inquired in two rounds by Delphi method. Results The positive coefficients of the two rounds of inquiry were 93.3% and 89.3% respectively,the authority coefficients of the experts were 0.91,and the variation coefficients of the contents were 0.06~0.24. The training plan for graduate students majoring in nursing in ICU includes three parts：curriculum,overall schedule and clinical practice. Conclusion The training program is scientific and provides new ideas for the education reform of nursing master degree.

Select

The curriculum construction of Management and Promotion of Maternal and Child Health for postgraduates REN Li-hua, ZANG Yu, HOU Rui, ZHU Xiu, CHEN Hua, LU Hong 2020, 17 (3):  237-241.  doi: 10.3761/j.issn.1672-9234.2020.03.010 Abstract ( 430 )   HTML ( 1 )   PDF (730KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct the course module of Management and Promotion of Maternal and Child Health for nursing postgraduates and broaden their basic knowledge and international vision. Methods Five experts of the research group held 3~4 rounds of expert meetings to determine the teaching resources,course name,course objectives,course contents,course hours,teaching method,and assessment methods,based on the latest policies in the field of maternal and infant health at home and abroad,the latest progress in the field of maternal and infant health of WHO,International Midwifery Union and other international organizations,as well as the research report and research findings. Results The course module of Management and Promotion of Maternal and Child Health included four parts namely“global development and evidence-based practice of maternal and infant health and midwifery services”,“international research progress and application of reproduction and contraception”,“progress of postpartum maternal and infant health management” and“early health promotion of children” with a total of 50 hours. The online and offline teaching methods were adopted,and the assessment methods mainly covered group discussion,online interaction,written assignments,and oral report. Conclusion The curriculum module construction process is scientific and rigorous and the course contents are advanced. The curriculum is worth of further promotion.

Select

The training and application of midwifery standardized patients YAO Jia-si, LI Xia, CHEN Hong-yue, LI Yan, YU Hong, CHEN Hai-ying, CHEN Chun-ning 2020, 17 (3):  242-244.  doi: 10.3761/j.issn.1672-9234.2020.03.011 Abstract ( 408 )   HTML ( 0 )   PDF (483KB) ( 2 )   Save References | Related Articles | Metrics Objective To discuss the training methods and application of standardized patients（SP） in an objective structred clinical examination（OSCE） of Midwifery courses. Methods Based on the inclusion criteria,sixteen nursing students were chosen as SP. SPs were trained and assessed according to Standards of Best Practice and were applied in the OSCE of Midwifery courses. Results The total simulation score of SP was 81.60±9.59. The mean score of simulation attitude was 4.85±0.31,the score of simulation ability dimension was 4.15±0.68 and the score of obeying question rules dimension was 4.17±0.71. Conclusion The SP applied in the OSCE was accepted and feasible. Our study can provide reference for reform of midwifery skills.

Select

A survey of the current situation of nursing information competency among undergraduate nursing students ZHU Wang-jun, CHEN Xiu-wen 2020, 17 (3):  245-249.  doi: 10.3761/j.issn.1672-9234.2020.03.012 Abstract ( 573 )   HTML ( 0 )   PDF (709KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the status and influencing factors of nursing undergraduates’ information ability,and to provide basis for the cultivation of nursing information ability of undergraduate nursing students. Methods 1098 nursing students from 4 nursing colleges and universities were surveyed by SANICS. Results The total nursing information ability of nursing undergraduates was（70.19±15.82）,which was below the medium level. The influencing factors of nursing information ability were grade,national computer rank examination level,clinical practice,nursing information related courses and contact with nursing information system. Conclusion Undergraduate nursing students in clinical information roles,nursing attitude information,the application of computer skills and wireless equipment skills still have larger space to improve. The clinical nursing education workers should develop as soon as possible nursing information ability training scheme,course content and the informatics inorder to promote the development of higher education for nursing informatics in China.

Clinical Teaching

Select

The application of Frame-of-Reference training in the evaluator training of mini-clinical evaluation exercise for master of nursing specialist ZHANG Si-xiu, XU Cui-rong, WU Yan-ping, LI Kun-peng, LU Ling, YAN Han 2020, 17 (3):  250-253.  doi: 10.3761/j.issn.1672-9234.2020.03.013 Abstract ( 430 )   HTML ( 0 )   PDF (576KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate the effects of Frame-of-Reference Training in the evaluator training of Mini-clinical evaluation exercise for master of nursing specialist（MNS）. Methods Purposive sampling was used to select 22 clinical teachers who was responsible for training of MNS in a tertiary hospital in Nanjing. We used Frame-of-Reference Training to train the evaluators. The evaluators were required to assess MNS with mini-clinical evaluation exercise scale and compared the rating accuracy,consistency and measures of dispersion of the two assessments. Results After training,there was no statistical differences between evaluators’ score and the standard score of assessment Ⅱ. Kendall’s W of assessment Ⅱ was 0.404 after training,and the score consistency of assessment Ⅱ was higher than that of assessment Ⅰ. The measures of dispersion tended to decrease,but the level of score consistency was still on a general level. Conclusion The Frame-of-Reference Training improves the rating accuracy and the score consistency of the evaluators in the mini-clinical evaluation exercise. However,the level of score consistency is still on a general level,suggesting that repeated and rigorous training is extremely important and necessary.

Continuing Education

Select

Construction of evaluation index system of traditional Chinese medical nursing training based on kirkpatrick model WU Pei-xiang, YU Li, ZUO Yao-yao 2020, 17 (3):  254-258.  doi: 10.3761/j.issn.1672-9234.2020.03.014 Abstract ( 362 )   HTML ( 1 )   PDF (728KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To establish the evaluation index system of nurse training in traditional Chinese medicine（TCM） and standardize the evaluation standard of training effect of TCM nursing talents. Methods Based on the framework of kirkpatrick model,36 experts in traditional Chinese medicine were selected for two rounds of Delphi expert consultation to determine the content and weight of training evaluation indicators. Results By adding,deleting and splitting indicators,the training effect evaluation index system of TCM nursing knowledge and technique of nurses included 4 first-level indicators,15 second-level indicators and 52 third-level indicators after two-round expert advisory. The effective response rates were 92.3% and 96.0%,the Cr was 0.93,the Kendall’s W in the levels were 0.641,0.198 and 0.270 respectively（P＜0.05）. Conclusion The evaluation index system of TCM nursing training based on kirkpatrick model is scientific and reasonable,which can provide evaluation basis for standardized and effective TCM nursing training.

Clinical Practice

Select

Evidence based continuous quality improvement of incontinence-associated dermatitis in adult ICU ZHANG Yan, ZHANG Yan-hong, WANG Chun-hua 2020, 17 (3):  259-263.  doi: 10.3761/j.issn.1672-9234.2020.03.015 Abstract ( 590 )   HTML ( 4 )   PDF (690KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the evidence based effects of continuous quality improvement of incontinence- associated dermatitis（IAD） in adult ICU. Methods Based on the theoretical framework of evidence-based quality continuous improvement model,the relevant evidence of prevention and management of IAD in adult ICU was found through systematic literature search and quality evaluation. Nine quality improvement measures were proposed. From December 1,2018 to February 1,2019,29 incontinent patients and 46 ICU nurses were examined at baseline by means of observing,checking nursing records,analyzing literature,and questionnaire survey. The obstacles in evidence application were collected and analyzed. Problem solutions were proposed including introducing IAD risk assessment tools,standardizing incontinence assessment and processing records,formulating IAD prevention and control measures,and improving IAD related knowledge system training. From February 10,2019 to July 30,2019,the evidence was introduced and nurses used these evidence measures to care for 51 incontinence patients. The use of evidence measures was investigated among the nurses. Nurses’ IAD related knowledge,the implementation rate of related nursing behaviors and the change of IAD incidence before and after the evidence application were all evaluated. Results The IAD related knowledge and the implementation rate of nursing behavior were significantly increased after the evidence measures were implemented（P＜0.05）. The incidence of IAD was reduced from 24.1% to 5.9%. Conclusion The continuous quality improvement of incontinence-associated dermatitis in adult ICU based on evidence can help to reduce the incidence of IAD in incontinence patients,make nurses have rules to follow and improve the quality of nursing.

Select

The yoga nidra applied in female patients with systemic lupus erythematosus JI Yong-hui, ZHANG Feng, LIU Sheng-yun 2020, 17 (3):  264-267.  doi: 10.3761/j.issn.1672-9234.2020.03.016 Abstract ( 566 )   HTML ( 0 )   PDF (614KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of yoga nidra on sleep disorder and depression of female patients with systemic lupus erythematosus（SLE）. Methods Thirty-eight female patients with SLE who had depression and sleep disorders in a tertiary hospital of Zhengzhou were randomly divided into the experimental group（n=18） and the control group（n=20） by randomized digital table. Patients in the control group received routine nursing care while patients in the experimental group received yoga nidra exercises besides routine care. Results The total scores of Self-Rating Depression Scale and Pittsburgh Sleep Quality Index in the experimental group were significantly lower than those in the control group（P<0.05）. Conclusion Yoga nidra can improve the depression level and sleep disorders in female patients with systemic lupus erythematosus. It is helpful to the physical and psychological well-being of the female patients with SLE.

Select

The relationship between potentially inappropriate medications use and adverse health outcomes in the older adults：a systematic review CHI Jun-ting, NIU Xiao-dan, RUAN Hai-hui, TAO Hong-xia, ZHANG Jing, WANG Yan-hong 2020, 17 (3):  268-274.  doi: 10.3761/j.issn.1672-9234.2020.03.017 Abstract ( 266 )   HTML ( 0 )   PDF (971KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To know the effects of potentially inappropriate medications use on adverse health outcomes in the older adults. Methods The main databases including PubMed,the Cochrane Library,Web of Science,EMBASE,Chinese biomedical literature database,CNKI and WanFang databases were searched from the inception of the database to February 2019. The studies related to inappropriate medications on adverse health outcomes in the older adults were included. Meta-analysis was conducted with RevMan 5.3 software. Results A total of 33 cohort studies were included. The results showed that potentially inappropriate medications use had a significant impact on adverse drug reactions and readmission rates（RR=1.69,95%CI=1.28~2.23,P＜0.001;RR=1.47,95%CI=1.30~1.66,P＜0.001）,but it did not increase mortality（RR=1.02,95%CI=0.98~1.07,P=0.310）. Conclusion Potentially inappropriate medications use is a risk factor for adverse drug reactions and re-hospital admissions in older adults which increases the social and economic burdens.

Select

The influence of death attitude on hospice care attitude among emergency nurses DING Chuan-qi, JIN Jing-fen 2020, 17 (3):  275-278.  doi: 10.3761/j.issn.1672-9234.2020.03.018 Abstract ( 371 )   HTML ( 0 )   PDF (520KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the hospice care attitude and death attitude among emergency nurses and examine their relationship. Methods One hundred and fifty-three emergency nurses were recruited by convenience sampling and investigated by the Chinese version of Frommelt Attitude Toward Care of the Dying Scale（FATCODS）and Death Attitude Profile-Revised（DAP-R） questionnaire. Results The total score of hospice care attitude was（79.78±10.03）. The subscale scores of DAP-R in descending orders were（3.15±0.79） for escape acceptance,（3.04±0.66）for approach acceptance,（2.92±0.65） for fear of death,（2.88±0.72） for death avoidance,and （2.16±0.58） for natural acceptance respectively. The hierarchical regression model showed that natural acceptance,death avoidance,and escape acceptance could explain 27.8% variance of hospice care attitude among emergency nurses. Conclusion The overall level of emergency nurses’ attitude of hospice care is not good and influenced by death attitude.